Note: Nebula Management is not accepting any new clients at this time.

If you would like to contact us in relation to submitting to Nebula Management please fill in the form below, print it out, attach a headshot and resume and send it to our mailing address for consideration. We're always looking for new faces but please understand that we do not accept everyone who applies to this agency.

Date:

First Name:

Middle Initial:

Last Name:

Home #:

Cell/Pgr #:

Work #:

SSN:

Union Affiliations:

D.O.B.:

Address:

City:

State:

Zip:

Marital Status:

Married Single

Hair Color:

Eye Color:

Height:

Weight:

Dress Size:

Chest / Bust:

Waist:

Hips:

Coat Size:

Pant Size:

Shoe Size:

Shirt Size:

Do you have any other representation (agent), or are you bound by any other contracts, corporation, employer or photographer?

YES

NO

Details:

Special Skills:

Please indicate the areas in which you are interested by placing an X in the box next to each category:

	Motion Picture Principal:		Motion Picture Extra		Print/Catalog Photography
	Television Principal		Television Extra		Nude Photography
	Fashion Photography		Runway		Semi-Nude Photography
	Convention/Trade Shows		Alcohol Promotions		Cigarette Promotions
	Hair Model		Hand Model		Swimsuit Model
	Cosmetic Photography		Voiceovers		Lingerie Model

Please fill out this form, print it, and then submit it with a headshot, comp card, resume to: